Information Collection

Health Coverage Tax Credit (HCTC) Monthly Registration and Update

IC 41159 under ICR 202209-1545-004 · OMB 1545-1842.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 13441-A Health Coverage Tax Credit (HCTC) Monthly Registration and Update	Form and Instruction
13441-A Health Coverage Tax Credit (HCTC) Monthly Registration a f13441-a--2021-04-00.pdf www.irs.gov/hctc	Form and Instruction
13441-A Health Coverage Tax Credit (HCTC) Monthly Registration a f13441-a--2021-04-00.pdf www.irs.gov/hctc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	13441-A	Health Coverage Tax Credit (HCTC) Monthly Registration and Update	f13441-a--2021-04-00.pdf	www.irs.gov/hctc	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: IRS 24.030-CADE Individual Master File

FR Citation: 83 FR 42980

Number of Respondents: 5,146

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,146	5,146
Annual IC Time Burden (Hours)	2,573	2,573
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.